Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,466.84 / $5,495.41	Facility		$1,621.81	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,949.84	Professional		$575.44	$870.96	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,884.03 / $5,011.87	Facility		$1,258.93	$2,884.03	$5,011.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,621.81	Professional		$1,318.26	$1,548.82	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,412.54	Professional		$741.31	$1,096.48	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,122.02 / $2,398.83	Facility		$741.31	$1,122.02	$2,398.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $1,949.84	Professional		$1,318.26	$1,621.81	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,365.16 / $6,309.57	Facility		$3,467.37	$4,365.16	$6,309.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $1,819.70	Professional		$1,174.90	$1,621.81	$1,819.70
Select Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $3,801.89	Professional		$776.25	$912.01	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,467.37 / $7,762.47	Facility		$676.08	$3,467.37	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,621.81	Professional		$630.96	$1,023.29	$1,621.81